| Brandee Kelly, | |
|
38882 Mentor Ave, Willoughby, OH 44094-7875 | |
| (440) 578-8200 | |
| Not Available |
| Full Name | Brandee Kelly |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 6 Years |
| Location | 38882 Mentor Ave, Willoughby, Ohio |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457964868 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | C.2002654 (Ohio) | Primary |
| Entity Name | Signature Health, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679767289 PECOS PAC ID: 8628970985 Enrollment ID: O20040126000762 |
| Mailing Address | Practice Location Address |
|---|---|
| Brandee Kelly, 38882 Mentor Ave, Willoughby, OH 44094-7875 Ph: Not Available | Brandee Kelly, 38882 Mentor Ave, Willoughby, OH 44094-7875 Ph: (440) 578-8200 |
Tatiana Dwyer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 38882 Mentor Ave, Willoughby, OH 44094 Phone: 440-953-9999 |
Niels William Nielsen, LISW Counselor Medicare: Not Enrolled in Medicare Practice Location: 38879 Mentor Ave, Suite C, Willoughby, OH 44094 Phone: 440-953-9999 Fax: 440-918-3839 |
Savannah Mentall, Counselor Medicare: Not Enrolled in Medicare Practice Location: 38882 Mentor Ave, Willoughby, OH 44094 Phone: 440-578-8200 |
Shelly L. Beal, Counselor Medicare: Not Enrolled in Medicare Practice Location: 38882 Mentor Ave, Willoughby, OH 44094 Phone: 440-953-9999 |
Jennifer Elizabeth Vittek, Counselor Medicare: Medicare Enrolled Practice Location: 38882 Mentor Ave, Willoughby, OH 44094 Phone: 440-953-9999 |
Dana Elizabeth Knight, Counselor Medicare: Not Enrolled in Medicare Practice Location: 38882 Mentor Ave, Willoughby, OH 44094 Phone: 440-953-9999 |
Melissa Louise Kahl, Counselor Medicare: Not Enrolled in Medicare Practice Location: 38882 Mentor Ave, Willoughby, OH 44094 Phone: 440-953-9999 |